SUMMIT PLACE WEST
NPI 1831335637
Assisted Living Facility in Indianapolis, IN

Q: What is Magnolia Health System Ix, Inc.'s NPI number?

The NPI number for Magnolia Health System Ix, Inc. is 1831335637. It was assigned to this organization in the NPPES registry on December 29, 2008. The provider is doing business as Summit Place West.

Q: What is Magnolia Health System Ix, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 29, 2008CLIA 15D1094390 · Waiver

55 MISSION DR, INDIANAPOLIS, IN 46214(317) 244-2600(317) 244-3771 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Summit Place West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT PLACE WEST (NPI 1831335637) is a healthcare organization registered as an assisted living facility in Indianapolis, Indiana and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Timothy Dean Paino, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831335637

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAGNOLIA HEALTH SYSTEM IX, INC.

Location Address55 MISSION DRIndianapolis, IN 46214-5907

Mailing Address9455 Delegates RowIndianapolis, IN 46240-3805 · (317) 818-1240 · Fax (317) 818-1430

Phone(317) 244-2600

Fax(317) 244-3771

Organization SubpartNo

Authorized OfficialTimothy Dean PainoAdministrator · (317) 244-2600

Enumeration DateDecember 29, 2008

✔ NPI 1831335637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in IN · 080118401

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

55 MISSION DR, Indianapolis, IN 46214

Open in Google Maps ↗

Other Names 1

Doing Business AsSummit Place West

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1094390

Summit Place West · Indianapolis, IN

Active · expires Jan 15, 2027

CLIA Number15D1094390

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJanuary 16, 2025

Certificate Expiration DateJanuary 15, 2027

Laboratory DirectorAlicia N. Harris

Laboratory Phone(317) 244-2600

Laboratory LocationSummit Place West55 N Mission Dr, Indianapolis, IN 46214

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SANDRA MARIE CRENSHAW O.T.R.

Occupational Therapist

55 MISSION DR
INDIANAPOLIS, IN 46214

Marion County (317) 244-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Health System Ix, Inc.'s NPI number?

The NPI number for Magnolia Health System Ix, Inc. is 1831335637. It was assigned to this organization in the NPPES registry on December 29, 2008. The provider is doing business as Summit Place West.

Where is Magnolia Health System Ix, Inc. located?

Magnolia Health System Ix, Inc. is located at 55 Mission Dr, Indianapolis, IN 46214. The listed phone number is (317) 244-2600.

What is Magnolia Health System Ix, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Magnolia Health System Ix, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1094390) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Health System Ix, Inc. was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.